J Gorriceta Pllc is a
Clinic/center - Physical Therapy based in Pocatello, Idaho. J Gorriceta Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
151 N 4th Ave, Ste A, Pocatello, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 534-8330.
NPI number for J Gorriceta Pllc is 1689349300 and their current mailing address is 151 N 4th Ave Ste A, Pocatello, Idaho. J Gorriceta Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689349300.
Healthcare Provider's Profile
| Full Name | J Gorriceta Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 151 N 4th Ave, Pocatello, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689349300
- Provider Enumeration Date: 08/13/2021
- Last Update Date: 06/10/2026
Medical Identifiers
Medical identifiers for J Gorriceta Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689349300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J Gorriceta Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
J Gorriceta Pllc
151 N 4th Ave Ste A,
Pocatello, ID 83201-6300
Ph: (208) 534-8330 | J Gorriceta Pllc
151 N 4th Ave, Ste A,
Pocatello, ID 83201-6300
Ph: (208) 534-8330 |
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